Organization
LEWIS CONSULTING SERVICES, PA
Active
Other names
Wake Psychological Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA O LEWIS PH.D. (PSYCHOLOGIST)
(919) 622-1303
Entity
Organization
Contact information
Practice address
4917 WATERS EDGE DR STE 220, RALEIGH, NC 27606
(919) 622-1303
Mailing address
PO BOX 1955, CARY, NC 27512-1955
(919) 622-1303
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2866
NC
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TH0100X
Health Service Psychologist
2866
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017KY
BLUE CROSS BLUE SHIELD
NC
Enumeration date
05/02/2007
Last updated
08/26/2018
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